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General NPI Number Information
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NPI Number | 1174795785
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Entity Type | Organization
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Legal Business Name | HOLLAND CENTER FOR FAMILY MEDICINE LTD
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 6760 W. THUNDERBIRD RD. SUITE E-100
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 602-978-8477
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Fax | 602-978-0734
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Provider Business Mailing Address
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Address Line | 6760 W. THUNDERBIRD RD. SUITE E-100
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 602-978-8477
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Fax | 602-978-0734
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA HOLLAND
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Credential | M.D.
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Telephone | 602-978-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17551
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License Number State | AZ
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